CONSTRUCTION CHANGE DIRECTIVE (CCD)
FOR CONSTRUCTION CONTRACT(S)
NJSDA Form 506
NJSDA Form 506
Page 1 of 3
Revised: March 2014
Date:
Contract No.:
Contractor:
PMF/CM:
PMF/CM PM:
Contractor CCD No.:
Program Director:
School Name:
District Name:
The Contractor is directed to make the following changes to the contract:
Description of Work:
SDA CCD No.:
Contractor CCD No.
SDA CCD No.
CONSTRUCTION CHANGE DIRECTIVE (CCD)
FOR CONSTRUCTION CONTRACT(S)
NJSDA Form 506
NJSDA Form 506
Page 2 of 3
Revised: March 2014
Justification (Reason for Change)
Contractor's CCD No.
SDA CCD No.
CONSTRUCTION CHANGE DIRECTIVE (CCD)
FOR CONSTRUCTION CONTRACT(S)
NJSDA Form 506
NJSDA Form 506
Page 3 of 3
Revised: March 2014
Recommended for Acceptance:
Recommended and/or Approved by: SDA Program Officer
Design Consultant
PMF/CM
Signature
Signature
Printed Name
Printed Name
Recommended and/or Approved by: Program Director
Printed Name
Signature
Printed Name
Signature
Contractor's CCD No.
SDA CCD No.
Date
Date
Date
Date
Print Form